DR. STEPHEN A. NICHOLS (NPI# 1184780009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184780009 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN A. NICHOLS |
| Credential | M.D. |
| Practice Address |
1708 W Rogers Ave Baltimore MD 21209-4545 |
| Practice Telephone | 4105788600 |
| Mailing Telephone | 4105788600 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2008-01-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | D0056863 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689705253 | Stephen Grant Nichols | Physical Therapist | 140 Eureka Street, Taylorsville, MS 39168 | 2007-03-08 |
| 1033275094 | Stephen Wayne Nichols | Chiropractor | 166 Athens St, Hartwell, GA 30643-1851 | 2006-12-27 |
| 1427145218 | Stephen P. Nichols | Orthopaedic Surgery | 351 Santa Fe Dr., Suite 100, Encinitas, CA 92024 | 2006-10-05 |
| 1962481093 | Stephen Prioleau Nichols | Psychologist | 204 N East Ave, Fayetteville, AR 72701-5225 | 2006-01-17 |
| 1184042897 | Stephen Nichols | Emergency Medicine | 2333 Mccallie Ave, Chattanooga, TN 37404-3258 | 2014-03-31 |
| 1841612470 | Stephen Nichols | Pharmacist | 1840 Amherst St, Winchester, VA 22601-2808 | 2014-01-16 |
| 1235419037 | Stephen Daniel Nichols | Counselor | 300 W 19th Ter, Kansas City, MO 64108-2026 | 2011-08-24 |
| 1275540437 | Stephen Nichols | Internal Medicine | 701 E El Camino Real, Mountain View, CA 94040-2833 | 2006-08-01 |
| 1912955899 | Stephen R. Nichols | Emergency Medicine | 1501 Burnet Rd, Brownwood, TX 76801-8520 | 2006-05-04 |
| 1245288364 | Stephen Nichols | Psychiatry & Neurology | 103 Valley Center Dr, Staunton, VA 24401-5080 | 2006-05-04 |
| Street Address |
1708 W ROGERS AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21209-4545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568400125 | Ajoke Ajayi Akintade | Pediatrics | 1708 W Rogers Ave, Baltimore, MD 21209-4545 | 2006-06-03 |
| 1205434438 | Eliannah Gabrielle De Carlo | Psychologist | 1708 W Rogers Ave, Baltimore, MD 21209-4596 | 2020-10-09 |
| 1972116200 | Kalina Eneva Hurley | Clinical Neuropsychologist | 1708 W Rogers Ave, Baltimore, MD 21209-4596 | 2020-08-26 |
| 1851900716 | Andrew Douglas Gill | Psychologist | 1708 W Rogers Ave, Baltimore, MD 21209-4596 | 2020-07-27 |
| 1104442128 | Nicole Sanchez | Physical Therapist | 1708 W Rogers Ave, Baltimore, MD 21209-4596 | 2020-06-25 |
| 1700402120 | Lee Winemiller Cockrum | Physical Therapist | 1708 W Rogers Ave, Baltimore, MD 21209-4596 | 2020-06-22 |
| 1366067209 | Lesley Hall Delaney | Speech-Language Pathologist | 1708 W Rogers Ave, Baltimore, MD 21209-4596 | 2020-06-16 |
| 1124643101 | Anna Formica | Speech-Language Pathologist | 1708 W Rogers Ave, Baltimore, MD 21209-4596 | 2020-06-15 |
| 1649895624 | Abby Correia | Speech-Language Pathologist | 1708 W Rogers Ave, Baltimore, MD 21209-4545 | 2020-06-15 |
| 1366066185 | Dorothy Cook | Occupational Therapist | 1708 W Rogers Ave, Baltimore, MD 21209-4545 | 2020-06-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659996239 | Esther Deena Kahn | Occupational Therapist | 2325 Blackberry Rd, Baltimore, MD 21209 | 2020-06-10 |
| 1356988059 | Bunny's Home Care, LLC | Home Health Aide | 1340 Smith Avenue, Baltimore, MD 21209 | 2019-12-02 |
| 1982241626 | Mary Della-davis | Technician, Other | 1621 Sulgrave Ave, Attn: Village Electrolysis, Baltimore, MD 21209 | 2019-12-02 |
| 1982161246 | Sylvia Stewart Powell | Social Worker | 4600 Falls Road, Baltimore, MD 21209 | 2019-02-22 |
| 1811452279 | Honeyb Wellness | Counselor | 4639 Falls Rd, Baltimore, MD 21209 | 2019-02-09 |
| 1417448861 | Ting-jia Rosalinda Huang Lorigiano | Student in an Organized Health Care Education/Training Program | 581 Smith Avenue, Suite 210, Baltimore, MD 21209 | 2018-05-22 |
| 1427546126 | Lea Jane Selitsky | Student in an Organized Health Care Education/Training Program | The Johns Hopkins Hospital Medical Staff Administration, 581 Smith Avenue, Suite 210, Baltimore, MD 21209 | 2018-04-27 |
| 1508362609 | Total Women's Health of Baltimore,pa | Obstetrics & Gynecology | 6080 Falls Rd Ste 204, Baltimore, MD 21209 | 2018-04-05 |
| 1083118418 | Jerome N Beck | Speech-Language Pathologist | 5710 Newbury St., Baltimore, MD 21209 | 2018-03-21 |
| 1700309002 | Michelle Demeule-hayes | Dietitian, Registered | 1708 West Rogers Ave, Baltimore, MD 21209 | 2017-07-19 |
| Find all providers in zip 21209 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248211 | Lauren Mendelsohn-levin, Md LLC | Pediatrics | 6905 Granite Ridge Ct, Baltimore, MD 21209-3856 | 2020-09-08 |
| 1790321172 | Lifebridge Metropolitan Physician Group II, LLC | Pediatrics | 1 E University Pkwy Unit 109, Baltimore, MD 21218-2432 | 2019-11-21 |
| 1528534062 | Baltimore City Health Department | Pediatrics | 1301 Mcculloh St, Baltimore, MD 21217-3044 | 2018-10-23 |
| 1730664012 | Privia Care Center LLC | Pediatrics | 301 Saint Paul St Ste 409, Baltimore, MD 21202-2102 | 2018-10-02 |
| 1386147932 | Das Pediatrics | Pediatrics | 821 N Eutaw St Ste 305, Baltimore, MD 21201-6303 | 2018-03-09 |
| 1184142762 | Marieta S Caragay,m.d. | Pediatrics | 3455 Wilkens Ave Ste 102, Baltimore, MD 21229-5204 | 2017-09-05 |
| 1114455425 | Umar Qadri | Pediatrics | 4940 Eastern Ave # 021044, Baltimore, MD 21224-2735 | 2017-05-31 |
| 1487185765 | Jennifer Dibiagio | Pediatrics | 6565 N Charles St Ste 309, Baltimore, MD 21204-5804 | 2017-03-27 |
| 1538525456 | Catherine Deangelis | Pediatrics | 200 Tuscany Rd, Baltimore, MD 21210-3010 | 2016-01-07 |
| 1275913881 | Agape Health Systems | Pediatrics | 2300 Garrison Blvd Ste 130, Baltimore, MD 21216-2316 | 2015-06-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.